Women's Health - Infertility

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OBGYN.net Infertility Section

Special Octuplet dOctoMom Edition

FEATURED THIS WEEK - FEBRUARY 24, 2009

OBGYN.net EXCLUSIVE Interview with Michael Kamrava MD, Reproductive Endocrinologist to Nadya Suleman, mother of the octuplets.

"Hysteroscopic Embryo Implantation" with Michael Kamrava, MD

How many embryos should be transplanted is always a hotly debated topic. The question "how many is too many?" has now created global controversy since the recent birth of the octuplets.

At the 58th Annual Meeting of the American Society for Reproduction Medicine Hugo Verhoeven, MD and OBGYN.net Editorial Advisor interviewed Michael Kamrava, MD on his methods.

"Hysteroscopic Embryo Implantation"

For recast or transcription reuse information contact Roberta.Speyer@OBGYN.net

Kamrava Hysteroscopic Embryo Implantation - Your Comments

Infertility: For Women and Patients

Women who have questions about fertility issues can get answers at the Women's Health Forum and support at the Endometriosis Forum.
Here are a few current discussions on the Women's Health Forum.

Ultrasound after IVF shows baby measuring small - Beth
Infertility: Question about the cervix - Jennifer
Re: INFERTILITY: Question about the cervix - D. Ashley Hill MD
INFERTILITY: Diagnostic hysteroscopy: a routine procedure infertile women? - Hope Waltman
INFERTILITY: Can Moth Balls And Bug Sprays Cause Infertility??? - Maggie
INFERTILITY: very concerned
INFERTILITY: Ovulation - Kelly
Re: infertility specialists dont know what LAPEX is
INFERTILITY: Infantile uterus - liz
INFERTILITY: Can a heavy period clear a blocked fallopian tube? - Jennifer

What is infertility?

Infertility is the inability to conceive after a year of unprotected intercourse in women under 35, or after six months in women over 35, or the inability to carry a pregnancy to term. Couples who have known barriers to fertility, such as endometriosis, polycystic ovarian syndrome, male factor infertility, irregular cycles, etc., do not need to sit out the traditional waiting period to seek expert care for infertility.

How common is infertility?
One in every six couples of childbearing age has an infertility problem. There is a female problem in 35% of the cases, a male problem in 35% of the cases, a combined problem of the couple in 20% of cases. Therefore, it is essential that both the man and the woman be evaluated during an infertility work-up. In 10% of cases, the problem is "unexplained" meaning that all testing is normal.

When should I seek help for infertility?
Conventional medical advice is to seek treatment if you have been trying to conceive for at least one year. However, if the male partner has a known or suspected low sperm count or the female partner is over 30 years old, has a history of pelvic inflammatory disease, painful periods, recurrent miscarriage, or irregular periods then we suggest seeking treatment sooner.

What are "primary" and "secondary infertility"?
Primary infertility is infertility without ever conceiving or successfully carrying a pregnancy to a live birth. Secondary infertility is the inability to conceive again after one or more successful pregnancies.

Infertility: For Medical Professionals

Doctors and other medical professionals who would like to discuss Ob/Gyn topics can participate in the longest running obstetrics and gynecology discussion forum OBGYN-L

Frontiers in Reproductive Medicine edited by Camran Nezhat, MD
There are significant exciting advancements made regularly in reproductive medicine. OBGYN.net is pleased to have Dr. Nezhat as Editor-in-Chief of this new special feature to familiarize the physician and also the public about these new developments. Read these new articles: The dilemma of endometriosis: is consensus possible with an enigma? and Role of laparoscopic treatment of endometriosis in patients with failed in vitro fertilization cycles - Littman, Guidice, Lathi, et al

Additional Professional Articles

Ovarian Hyperstimulation Syndrome and Prophylactic Human Embryo Cryopreservation: Analysis of Reproductive Outcome Following Thawed Embryo Transfer - E. S. Sills, L. J. McLoughlin, M. G. Genton, D. J Walsh, G. D. Coull and A. PH Walsh

Regional Clinical Practice Patterns in Reproductive Endocrinology: A Collaborative Transnational Pilot Survey of In vitro Fertilization Programs in the Middle East - E. S. Sills, H. S. Qublan, Z. Blumenfeld, A. V. T. Dizaj, A. Revel, S. Coskun, I. A. Jaoude, G. Serour, M. Eskandar, M. Ali Khalili, A. Demirol, K. Trokoudes, P. Ocal, A. M. Sultan, B. A. Lotto & Ad. El-Kareh

Serum Estradiol/progesterone Ratio on Day of Embryo Transfer May Predict Reproductive Outcome Following Controlled Ovarian Hyperstimulation and In vitro Fertilization - I. Gruber, A. Just, M. Birner & A. Lösch

Submit your own article or paper to Barbara Nesbitt OBGYN.net Editor

Frequency of Sperm Cells with Fragmented DNA in Males Infected with Chlamydia Trachomatis and Mycoplasma SP, Determined with the Sperm Chromatin Dispersion (SCD) Test - J. L. Fernandez, B. Ramos, R. Santiso, A. Agarwal, J. Gosalvez, G. Gallegos